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Death Certificate - Ashby, Esther M_9/19/1977
� .,�;Mn.,- . . .: . - . ... ... .. . . . . . _ ._. .- . - .. �r _._.,�-. _ ... ''tt.� . �t"':"•'i-' . � , ., . , . . �� . �' Y `� . . RECORD OFIDEATH � � , . •�� GIBSON COUNTY DEPARTMENT OF HEALTH - ;, - � PRINCETO,I, INDIANA � . , �•�7 - ' . _ THIS IS TO CERTIFY, that our records show- ESTHER M. ASHBY -' -" ��j � �'�.. 8/22/1977 at 1:SOPM Gib. Gen. Hosr. Princeton. Ind. ' month day year � hour of death , street, hospital, rural . . �.�� �,, �''t Age at Death 66 - Sex Fe . Color Negro Marital Status `:4`t MarTi2d ' years ` .. write whether'tnarried or single ' Myocarditis � ' �� ` Primary cause of death given was - � Signed by . Wm. R. Wells, M.D. _ . - . :.,Princeton, Ind.�.,�_ `�:�.._ •' °�s:- --'� . _ � phyaician or coroner � address _'_ iinCc Vi uiiflSY O"i 1"cT,iuFuS . . S3P_r7 Hi i� � RR- � pr; nn c±�n� _iru . �. ' � . name of cemetery � � address . ��. . -•� �'--=` . ,.. . � . � : r Date� of burial 8�25�77 Kendall Funeral Home �' Princeton, Ind: _� .'- � � F�neral Director addreas � ' � . _ � . . . . . . . . . . . . . . __ �` _ ._ . . : � ����i�°�% �,�;�: , . SEAL Signed ' � • . . - . - , . Gibson County Health Co 'ssioner . :;'\ � � _ �� Oakland City,Ind. 9/12/77. . � . . . � � . .� � .� address. - � date Recorded locally in book No. 9 page No. �� Filed: 9/12/77 ' "' {:. ,. t — ----_ -�-� - - ,